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HomeMy WebLinkAbout2017-09-26 - AGENDA REPORTS - SIERRA HIGHWAY PEDESTRIAN BRIDGE AND STREET IMPROV (2)0 Agenda Item: 4 CITY OF SANTA CLARITA Q:° AGENDA REPORT CONSENT CALENDAR 7, CITY MANAGER APPROVAL: 1 j4 _ " DATE: September 26, 2017 SUBJECT: SIERRA HIGHWAY PEDESTRIAN BRIDGE AND STREET IMPROVEMENTS, PROJECT S3031 - AWARD CONSTRUCTION AND CONSTRUCTION SUPPORT SERVICES CONTRACTS DEPARTMENT: Public Works PRESENTER: Damon Letz RECOMMENDED ACTION City Council: Approve the plans and specifications for the Sierra Highway Pedestrian Bridge and Street Improvements, Project S3031; Federal -Aid Project No. ATPL-5450(087). 2. Award the construction contract to C.A. Rasmussen, Inc., in the amount of $3,161,502, and authorize a contingency in the amount of $316,150 for a total contract amount not to exceed $3,477,652. 3. Award professional services for construction support contracts totaling $291,960 to the following: • Award professional services contract for construction support to Dokken Engineering in the amount of $106,128, for design support services. • Award professional services contract for construction support to R.T. Frankian and Associates in the amount of $148,632, for soils testing, source inspection, quality assurance materials testing, and inspection services. • Award professional services contract for construction support to Vertex Survey, Inc., in the amount of $37,200 for construction survey staking services. 4. Authorize the following transactions to fund the Sierra Highway Pedestrian Bridge and Street Improvements, Project S3031: • Increase Active Transportation Program Grant revenue in account 229-4424.009 by $1,402,000 and appropriate to expenditure account S3031229-5161.001. • Appropriate developer fees in the amount of $1,140,530 to expenditure account S3031306-5161.001. Page 1 PacketPg. 21 0 • Appropriate Measure R Local Return (fund 264) funds in the amount of $729,902 to expenditure account S3031264-5161.001. 5. Authorize the City Manager or designee to execute all documents, subject to City Attorney approval. BACKGROUND The proposed Sierra Highway Pedestrian Bridge and Street Improvements consist of widening southbound Sierra Highway to construct a right -turn pocket and the construction of a steel pedestrian bridge over Sierra Highway, including the associated approach ramps. The scope of work also includes construction of curb, gutter, structural road section, drainage improvements, sidewalk, trail, bus turnout, streetlight conduit, traffic signals, signing and striping, retaining walls, bridge abutments, and tube steel fencing. This project supports the Sustaining Public Infrastructure theme of the City of Santa Clarita's (City) five-year strategic plan, Santa Clarita 2020. A portion of the project limits on Sierra Highway is within Caltrans' right-of-way and requires Caltrans District 7 design oversight. The City's design team worked with staff from Caltrans' design and right-of-way divisions to obtain their approval of the plans and an encroachment permit for construction. This project is funded with an Active Transportation Program (ATP) grant. The ATP funding source originated in September 2013 when Governor Brown signed legislation creating the ATP program overseen by the California Transportation Commission (CTC) and California Department of Transportation (Caltrans). In May 2014, the City of Santa Clarita applied for and received a grant in the amount of $1,402,000 with a required local match of 11.47 percent. On May 17, 2017, the CTC allocated $1,402,000 in ATP funds to the project. On June 19, 2017, Caltrans granted their authorization to proceed with construction, also known as E-76. The CTC requires the construction contract to be awarded within six months from the allocation date of May 17, 2017. If this requirement is not met, the City will forfeit the grant funding in its entirety, as the CTC does not offer a time extension for ATP grant funding. In addition to the ATP grant funding, the project also received funds from developer -in -lieu fees and local match funds for the proposed pedestrian bridge and street improvements. An invitation to bid was published three times: June 27, July 1, and July 7, 2017, and was posted on the City's website. Plans and specifications were uploaded on the City's website. Ten bids were submitted to the City and opened by Purchasing on August 14, 2017. The results are shown below: Ranking Companv Location Bid Amount 1. C.A. Rasmussen, Inc. Valencia, CA $3,161,502 2. Powell Constructors, Inc. Fontana, CA $3,298,934 3. R. C. Becker and Son, Inc. Santa Clarita, CA $3,418,930 4. Los Angeles Engineering, Inc. Covina, CA $3,451,687 Page 2 Packet Pg. 22 5. Toro Enterprises, Inc. Oxnard, CA $3,854,775 6. USS Cal Builders, Inc. Stanton, CA $3,867,872 7. Pulice Construction, Inc. San Diego, CA $3,894,420 8. Future DB International, Inc. Irvine, CA $3,986,172 9. Griffith Company Brea, CA $4,260,551 10. Beador Construction Company, Inc. Corona, CA $4,536,300 Staff recommends awarding the project to C.A. Rasmussen, Inc., the lowest responsive bidder. This contractor possesses a valid state contractor's license and is in good standing with the Contractors State License Board. The contractor's bid was reviewed for accuracy and conformance to the contract documents and found to be complete and also in conformance with the grant funding requirements. The requested construction contingency amount of $316,150 will cover the cost for unforeseen site conditions, such as potential utility conflicts, abandoned utilities not shown in record drawings, change order requests made by the contractor, and change orders for additional work ordered by the City. To ensure efficient and proper procedures in construction inspection and materials testing, staff solicited Requests for Proposals (RFP) from qualified consultants to provide construction support. Staff received seven proposals for materials inspection and testing and two proposals for construction survey. Dokken Engineering will continue to provide the construction support, as they were the design engineer of record. Staff recommends awarding the contracts to the consultants listed below. These consultants were rated as most qualified through the selection process. The construction support services contracts total $291,960. Consultant Location Responsible for Contract Amount Dokken Engineering Folsom, CA Bridge and Civil Engineering $106,128 R.T. Frankian and Assoc. Santa Clarita, CA Materials Inspection and Testing $148,632 Vertex Survey, Inc. Santa Clarita, CA Construction Survey Staking $ 37,200 California Government Code 4526 prescribes selection of architectural and engineering services to be based on demonstrated competence and professional qualification necessary for the satisfactory performance of the services required, does not authorize the selection of professional architectural and engineering services based on costs, and does not require the cost proposals to be sealed. However, federally funded projects, such as this, require the City to follow the strict federal guidelines in the Caltrans Local Assistance Procedures Manual (LAPM). In the Consultant Selection section of the LAPM, it clearly states, "Each consultant's cost proposal must remain sealed until negotiations commence with that particular consultant." Per the federal guidelines of the LAPM, staff opened the sealed cost proposal for R.T. Frankian and Associates and Vertex Survey, Inc., and negotiated a final contract at a fair and reasonable price for the services requested in the RFP. ALTERNATIVE ACTION Other action as determined by the City Council. Page 3 Packet Pg. 23 FISCAL IMPACT Upon approval of the recommended action, the total Fiscal Year 2017-18 budget for this project will be $3,990,976. This amount will adequately provide for the construction and professional services contracts, project management, inspections, environmental monitoring, labor compliance, and miscellaneous project administrative costs. The funding for this project is broken down as follows: Developer Fee Fund $1,472,263; Miscellaneous Federal Grant (ATP) $1,402,000; Measure R Local Return $825,344; TDA Article 8 $273,785; General Fund Capital $17,584. ATTACHMENTS Location Map Bid Proposal for C.A. Rasmussen, Inc. (available in the City Clerk's Reading File) 0 Page 4 Packet Pg. 24 N lQ- BOUQUET SAN rarirGAINUT rtv s- clA an C cnryON PARK nm `Ry rop+Rrw 0"k Td kx A xa 4.a N 'SANTA CLARIT W* Sierra Hwy Pedestrian Bridge 0 1M;lRs rn and Street Improvements z The Clfyofsand earls does not waram W as Project S3031 Upaccucyofthedataandanmesno g Party for any errors or am lssions Map prepared by: City of Cants Clartta-CIC > —41 1 .�-- � ._ 0 Robin on RQn,h Golf o Project .aM RA Location PWN 2 RO POP MEAN PAR QO 4e P O Mets y4 W BY Try ONS ENUE iNCUGA To R 4 • PARK • VRRc �..+..tr ApiR Key _ rI Y ----------1104 0 7 k} BECONAS Lim PARK C C U 0 J t • R r Q Packet Pg. 25 SECTION C: PROPOSAL Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 TO THE CITY OF SANTA CLARITA, AS AGENCY: In accordance with AGENCY's NOTICE INVITING BIDS, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above -stated project as set forth in the plans, specifications, and contract documents therefore, and to perform all work in the manner and time prescribed therein. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, INSTRUCTIONS TO BIDDERS, and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following BID SCHEDULE. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the proposal guarantee accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in BID SCHEDULE are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, and fees. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the contract, the undersigned further agrees that in the event of the Bidder's default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the AGENCY's notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY's option, be considered null and void. Company: C. A. Rasmussen, Inc, Name 28548 Livingston Avenue Address Valencia, CA 91355 By: Eric Landegger Print Name Chief Estimator e Signature Date: August 14, 2017 C-1 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 C. A. RASMUSSEN, INC. 4ik General Engineering Contractors Safety • Quality • Service Since 1964 Valencia Commerce Center 28548 Livingston Avenue Valencia, CA 91355-4171 Telephone 661.367.9040 Fax 661.367.9099 www.carasmussen.com CERTIFICATE OF CORPORATE AUTHORITY I hereby certify that C. A. Rasmussen, Inc. is a duly organized and existing California Corporation, which has the power to take the action called for by the following resolution. I further certify that Eric Landegger is Chief Estimator of C. A. Rasmussen, Inc. and has the authority to execute bid bonds, bid submittals, contract documents and change orders on behalf of the corporation, as stated in the minutes of the Board of Directors' Meeting of C. A. Rasmussen, Inc. held April 1, 2013. In witness whereof, I have affixed my hand and seal of said corporation this 10th Day of July 2017. 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Y N E m N a Y N• E � UJ E Y N a Y m Z G Z U Z u Z u Z C.] Z 5 0 U EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor hereby certifies that he_L has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he Yhas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: By: Print Name Signature Title Date: 'F (I 1' T / Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor hereby certifies that hem has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he 7L has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: By Print Name Signature Title ` Date: FIN/ �� (� Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor ABC Liovin Drilling, Inc hereby certifies that he has X has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he _has X has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: ABC Liovin Drilling, Inc By. Ivan Liovin Print Name Signature d� President Title Date: 7/25/2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 6460(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor American Fence Company, Inc. hereby certifies that he X has — has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he x has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Ampriran Eenrp Company Inc By: Print Nai Srr��larcl Install Sales & Operations Manager - Southern California Title Date: Aueust-11 2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1,7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 6460(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor Comet Electric, Inc hereby certifies that he X has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he X has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Comet Electric, Inc By: Jason Pennington Print N ma Si lure Chief Financial Officer Title Date: August 14, 2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-17(b)(1)), and must be submitted by bidders and proposed subcontractors only In connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge 8 Street Improvements Project 83031 08/11/17 12:26PM PDT DRS Rebar Inc —> 6615547272 Pg 2/2 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor DRS Rebar Inc hereby certifies that hem has has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he Chas,. has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: DRS Rebar Inc By. Ruben G Sandoval Print Name Signature President Title Date: 8/11/2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted -by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5"'. 0-1.5 (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Slarre Highway Pedeslrlan Bridge & Slreel Improvernnnls Projact 83031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor hereby certifies that he has T has not participated in a previous contract or subcontra subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has .: has, .not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: t - Av 7wac Qn,l By: ._5�G'IV� 4 Prin !Name J Signature l �Sl lx ^s �1►'e1�'� � �Ipl��'�.J Title Date: 11 Z -V, 1 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge $ Street Improvements Pro:ed S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * "Must Must be filled out by the Bidder and ALL subcontractors over $10,000 * " * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 6450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor _ EW Corporation Industrial Fabricators hereby certifies that he x has —has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he x has — has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company, EW Corporation Industrial Fabricators By: Israel Ayala print Na a slgn6lum Estimating Mgr Title Date: 08/11/17 Note; The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-11(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, VS. Department of Labor, C-14 Slorra Highway PedoeUtan EINgo & Street Improvements Project Mal EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor. ` ok( rt_ 6-C-, hereby certifies that he_& has _ has not participated in a previous c tact or subcontra t subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: C� �� ` .. 1 4 1, 1 V'Lcl' By; Print Name Signature - Title Date: -4 -'27 - -►` Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted,. -by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5," (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) Is the only report required by the Executive Orders or their Implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Slerre Highway Pedestrian Bridge & Street Improvements Project 53021 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor Integrity Rebar Placers hereby certifies that hem has —has not participated In a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he Chas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements, Company: Integrity Rebar Placers By: Ken Negret Print Nat 5rgna re President Title Date: 07/27/2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-17(b)(1)), and must be submitted, by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5,' (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their Implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project 83031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor hereby certifies that he v**' has ` has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he --has — has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. By: - 4we-f a 46/4& Sl Print Nam 5rgna[ure 7i[le Date: ! lr 11 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor, C-14 Slerra Highway PedosIdan Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 t This Bidder/Subcontractor �� �j ��[� I•Y �J - _ hereby certifies that he_V has _ has not participated in a previc-us kntract or subcontract s_sbjecl to the equal opportunity clause, as r(3q'uired by Executive Orders 10925.11114, or 11246, and that heV, has —has not tiled with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports Thal are under the applicable filing requirements. Company: ?o_ WM7er_ft- _ �Mt �Q6 o v- By. Print Name Signal TWO Date: i Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposes! prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra hip,)hway Padecinan Brrdga A Street In,,, mvemenls Project SIM, l EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5460(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder ubcontracto lie hereby certifies that he_�L has — has not participated in a previa contra,,4 or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he Vhas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Pave-mft4 Pea_pl 5 5 By. ►'1 j� a- fi C� ' Narns S' iia re IQ Title Date: C Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Siena Highway Pedestrian Bridge & Slreel Improvainents Project S3031 This Bidder/Sub( hereby certifies opportunity claw with the Joint RI contracting or a, reports that are i Company: By: Date: Note: The abc 60-13(b)(1)), a subcontracts H contracts or sul Currently, the regulations. Proposed prim subject to the E the award of cc or such other 1 Compliance, U Sierra Highway Pedest, Project 53031 EQUAL EMPLOYMEN OPPORTUI 11ust be filled out by the Bidder and ALL s Sierra Highway Pedestrian Bridge & Federal -Aid P oject No. ATF City Bid No. ENG -16-1 City Project No. S: " �- ontract r hat he as _ has not part cipated in a pre e, as required by Executive Ord ws 10925.1111 !porting Committee, and Director of Office of Fec iministering AGENCY, or the foriner President's ander the ap licable filing requirements. Print Name sigoaturea Title re certification is required by the Equal Employm id must be submitted by bidders nd proposed s hich are subject to the equal o portundy clause icontracts of $10,000 or under art exempt.) tandard Form 100 (EEO -1) is thf only report reqs CONTRACTORS and subcont ctors who haw xecutive Orders and have not file the required re ntracts and subcontracts unless sich CONTRAC' ieriod specified by the Federal Highway Administ S. Department of Labor. C-14 an Bridge & Streel Improvements 41TY CERTIFICATION ubcontractors over $10,000 Street Improvements )L - 5450(087) 7-S3031 3031 IC thous contract or subcontract subject to the equal , or 11246, and that he ,has _ has not filed eral Contract Compliance, a Federal Government lommittee on Equal Employment Opportunity, all ant Opportunity of the Secretary of Labor (41 CFR ibcontractors only in connection with contracts and as set forth in 41 CFR 60-1.5, (Generally only fired by the Executive Orders or their implementing participated in a previous contract or subcontract ports should note that 41 CFR 60-13(b)(1) prevents "OR submits a report covering the delinquent period •ation or by the Director, Office of Federal Contract 0811112017 11:47 FAX 11008/008 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16.17-53031 City Project No. 53031 This Biddar/Suhcontractor STANTRU REINFORCING STEEL hereby certifies that he� has _ has not participated In a pnWiauS contract or subcontract sub Got to the equal opportunity clause, as required by Executive Orders 10925.1 1114, or 11248, and that he has _ _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Fedllral Government contracting or administering AGENCY, or the former President's Committee on Equal Employmen Opportunity, all reports that are under the applicable filing requirements. Company: STANTRU REINFORCING STEEL By,S.H. "SILL" WILLIAMS Print Name 5i m SALES MANAGER Tide Date: _ JULY 28, 2017 Note: The above certification Is required by the Equal Employment Opportunity of the Secretary o * Labor (41 CFR 60-1.7(b)(1)), and must be submitted..by bidders and proposed subcontractors only in connection w th contracts and subcontracts which are subject to the equal opportunity clause as set forth In 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or th air implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contra of or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the i lelinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of =ederal Contract Compliance, U.S. Department of Labor. C-14 91x,e Nlohmy Pedootdon Bridge & Wool IntWmme"le PMIMQ159001 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge S Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor &l tq l��ve CAY'IG as pn?A,,V hereby certifies that hehgs has not participated in a previous contract or subcontract.subject to the equal opportunity clause, as required by Executive Orders 109:25.11114, or 11246, and that he —has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: G-%'tN E�I-r-_(7rplc (0s By: -Dave Cy%ad bovrne., :PrinQie ::�) Sr nature _ 6e AiDr V-S%'VyAto Title Date: ce - l I - ( --f- Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge 6 Street Improvements Project S3031 From:Sterndahl Ent. Inc. 08/11/2017 16:06 #542 P.003/003 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATFL - 5 460(0137) City Bid No. ENG -18-17-83031 City Project No. S3031 This Bidder/Subcontractor Iz r"1 C1 Ct f nm- 12 I hereby certifies that he->�-_ has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he,2�--has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Comla Gn +-er r S By: nr N � sfgnatw -Pr d n f Date: Note; The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR CO -1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth In 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Foray 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated In a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director. Office of Federal Contract Compliance, U.S. Department of Labor, rc7 Pedwan add" a soest Nwo is C-14 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor Steel Girder LLC dba Stinger Bridge & Iron hereby certifies that he X has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he X has ^ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Steel Girder LLC dba Stinger Bridge & Iron By, Justin Murphy Print Name S nature GM / VP Title Date: Aug 11, 2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted -by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.61' (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Slerra Hlghwey Pedestrian Bridge & Street Improvements Project 83031 EQUAL EMPLOYMENT OPPORTI;NfTY CERTIFICATION .. • Mu%I hov + 11*d "C by the 84djar oind ALL subco(JI `ACtbft o+rar $I0 -MO • • Slems Hiq'tw*vay{ pa4o ytma Bridge & Street trnproyanwnts Fndera -AM "a+Ct NO, A'I'M - 64:&NO67] CitV 1f$d Wo. 1±p ()_,l G.7'? -53431 City p'roloct 'mo, S31333 peojlw,.t■ tnc.64Stnicict"VA%t hootbt carai5ea t t"X _ _ Nn not wrt cog ed v a rr E Osc! w � Ad tO ft *qL* opipftU wy Csa a ,ra nq' x' d L4y ,ti'r+a Ord" IMS 11111, v 11 X16, aatc!� I+� ?C _ � hat W >f M wjf1 ft iw rt FOeWx* Cam rs+tmo, rllr`0 Dfo3or d Cin d FOOOW COMNd C4wVMtK* a FOO" G ww""mr+t OX*a*V cx O*M"r+p AGEICY. or to *Cr"w P*Q* rZs COMMMOO an f!" Lftwk +rwt ►ft, +t r arRs tW ** u4se ft wp&*Ae Mg N*kwrom' �,W, a ;�, km tali iris �`on�:me i�mducts Inc dbA Mm-f--r&i::tst By 621cran- �r�x �,dmini+�.r�tac Dow �rr�t�► FI'r ra• kir' tha 1-qu-4 rrr"TAy}Tnw4 Opper':.► %rF C'1 the Sertrwy a lsK,:r (AI ICV R 6E.f yov)). 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U, B Dept of : A' C: EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor / 5+L/X. vo eo VA I C, I l -FL r V, I N t' C hereby certifies that he has _ has not participated in a previous contract or subcontr t subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he 7has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Vg.0 ✓1 (�L (. . t_ L L . By: N i u I � -0(0-e�-f-5 Print Name Signature Title Date: 9 f J //1 � 7 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-33031 City Project No. S3031 This Bidder/Subcontractor TAFT ELECTRIC COMPANY hereby certifies that he X has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he X has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: By. Date: TAFT ELECTRIC COMPANY Title 8/14/2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Slerra Highway Pedestrian Bridge 8 Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION Must be filled out by the Bidder and ALL subcontractors over $10,000 W W W Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATFL � 5450(087) City Bid No, ENG -16-17-S3031 City project No, S3031 This Bidder/Subcontractor hereby certifies that ite� has __^ has not participated in a previous contract or subcontra ubjeci to tl1e equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he has not file d with the Joint Reporting Committee, and (Director of Office of Federal Contract Compliance, a Federal Government contracting or administeAng AGE=NCY, or the former President's Committee on Equal Employment Opportunity, all reports that are u d' • th aepf[ ble titin trlrernents, Company: �- d By: /'1711! )+lar?1r) Signal r-1 TWO Date: _.�.._�_ L. Note: The above certification is required by the Equal Employment Opportur[ily of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must he submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are sttbjecf to the equal opportunity clause as set forth in 41 CFR 60-1.5, (generally only contracts or subconIrac(s of $10,000 or under are exempt.) Currently, the Standard form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations, fyraposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to thea Executive Orders and have not f1l8d the required reports should note ttrat 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcantracts unless such CONTRACTOR submits a report covcaring the dt�ltnquent period or such ether pa. 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Please see attached list of references. gme and Address of Owner/ Agency Name and Telephone Number of Person Familiar with Project Contract Name and Address of Owner/ Agency Type of Work Name and Telephone Number of Person Familiar with Project Date Completed Contract Amount Type of Work Date Completed Name and Address of Owner /Agency Name and Telephone Number of Person Familiar with Project Contract Amount Type of Work Date The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance bonds: Surety: Liberty Mutual Insurance Company Bonding Agent: Lockton Insurance Brokers, LLC 790 The City Drive South, Suite 200 725 S. Figueroa Street, 35th Floor Orange, CA 92868 Los Angeles, CA 90017 714-937-1400 213-689-0065 C-12 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 Q u m t` m ID n In In vl vl vl vl In vl vl v a a a $ 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N _N E s 0 w 0 O lD N O O OO O N O cr?O w O O O l0l0 10 O O 1�0 O N O NV1 ID NR N c .d n N pOp O O INTI O O L O H Cl Oat 00 V01 l0D N W N lD In O N 9 w 00 0 n m M I� N w 00 a I, N N O a p E 'Dr, Ill M Ill N O m N M N m N a 00 M Ol 00 .a co m V 01 a O Cl) N M N `/' M 00 N a Ili H rl '-I N a N O1 00 In N lD a O1 N rl VF VT N VI N Ll VI 0 +~n +Nil �+ V~T N N C s a w E v " m4F c v E > E m v y o 3 w mO E LL — Q w C o en c t a c 0 u E w m y E ou w o `w m a m E o O 43 m l7 u m a` O v c v ° m M a x w w e v E a v a E E a o m o w c 'Q CL - '" m m c > m v > a E 3 3 w o w n > m m w m E c w > m v c m E o Z F` LL a m p c O w li w L C c n N r>o V E > N m > ° L w A 'x Y m w a ° d c ¢ w 00 c m U Q c c ° v_ o 'm o c .� c '� Y c r - y a N w Q c o o. 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I k k §k\\ \`@ƒ n( a� -sfqm o � o s a 2 }1{�=�aa) 1 3a j@! q 5!! 4«®J)24/I«K�k777* `�{�me§U]®�\i\$ §/R�32q«gr§±9la3a3 \ ) 46 \ / k / \ / \ 2 C. A. Rasmussen, Inc. Contractor's Name DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, office manager: is not currently under suspension, debarment, voluntary exclusion or determination of ineligibility by any federal AGENCY; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal AGENCY within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. None. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders' responsibility. For any exception noted above, indicate below to whom it applies, initialing AGENCY, and dates of action. None NOTE: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal; signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-13 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor C. A. Rasmussen, Inc. hereby certifies that he)(has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he)Lhas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: C. A. Rasmussen, Inc. By. Eric Landegger Print N } Signature Chief Estimator Title Date: August 14, 2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 M EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16.17-S3031 City Project No. S3031 This Bldder/Subcontractor _ _ r } I� hereby certifies that he_X has has not participated in previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he ,has —has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compllance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: yC`7_Vl •d' in ek;I i lwrl5 By: L I e01,71jer Title Date: 7 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submittedekiy bidders and proposed subcontractors only In connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5;' (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their Implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated In a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Stern Highway Pedeetrien Bridge d Street Improvements Proleot S3031 C-14 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * "Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATFL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. 53031 This Bldder/Subcontractor Diverscape, Inc. hereby certifies that he X has — has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he X has has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance—,a- Feder—al Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Diversca a Inc. By: Vicki Moralez 4nafur m a President ritle Date: 7/25/17 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-17(b)(1)), and must be submitted. -by bidders and proposed subcontractors only In connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5,' (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvor mnls Project 83031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor Granstrom Masonry, Inc, hereby certifies that hem has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he _Xhas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: Granstrom Masonry, Inc. By: Tom Polizzi Print Name _Z0IIIA17�� _f _7 Z Signature Estimator Title Date: August 10, 2017 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidder/Subcontractor f , kw �e,�� hereby certifies that he><' has _ has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he _k -has —has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: A)K,.\i jt eA)(q_ By: . �ft l rZ Print Name Signature -P , �A , 17 Title Date: 09//1/17 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge 8 Street Improvements Project S3031 0811112017 15:47 SUPER SEAL STRIPE TAX) P.0051005 EQUAL. EMPLOYMENT OPPORTUNITY CERTIFICATION i * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPS. - 8450(087) City Bid No. ENG -1817-S3031 City Project No. 83031 This Bfdde Subeontrac Super Seal & String hereby certifies that he V has — has not participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he/_has _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company; Super Seal & Stripe By: Rob Van AntweT Print Name "'2A— - - Signalum estimator Title Date: 8-11-17 Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontract, of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subconlract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the director, Office of Federal Contract Compliance, U.S. department of tabor. C-14 Siena Highway Pedestrian dddus & SlBet Improveatknis Project S9037 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bidd hereby certifies that he has _ has`nat participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he Yhas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: By. Print Name Signature Title Date. CJI Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION * * * Must be filled out by the Bidder and ALL subcontractors over $10,000 * * * Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 This Bid hereby certifre e . has _ has not partkipated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925.11114, or 11246, and that he Chas _ has not filed with the Joint Reporting Committee, and Director of Office of Federal Contract Compliance, a Federal Government contracting or administering AGENCY, or the former President's Committee on Equal Employment Opportunity, all reports that are under the applicable filing requirements. Company: C4' 00 1A Print Name Signature Title J, Date: 0 ! / I ��I / --t ( -I Note: The above certification is required by the Equal Employment Opportunity of the Secretary of Labor (41 CFR 60-1.7(b)(1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause as set forth in 41 CFR 60-1.5, (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, the Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime CONTRACTORS and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1) prevents the award of contracts and subcontracts unless such CONTRACTOR submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-14 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 BIDDER'S INFORMATION AND CERTIFICATION Bidder certifies that the representations of the bid are true and correct and made under penalty of perjury. EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE Bidder certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any AGENCY, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding. AFFIRMATIVE ACTION CERTIFICATION Bidder certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, Bidder certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents. Bidder's Name: C. A. Rasmussen, Inc. Business Address: 28548 Livinqston Avenue Telephone No. 661-367-9040 State CONTRACTOR's License No. & Class: 254681; A, B, C-31, HAZ, ASB Original Date: 9/18/1968 Expiration Date: 5/31 /2019 The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint venturers, and/or corporate officers having a principal interest in this proposal: Charles A. Rasmussen - President Adam Rasmussen, Doug Misle - Vice Presidents Lisa Punches - Corporate Secretary *all can be reached with above contact information. The dates of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal, or any firm, corporation, partnership or joint venture of which any principal having an interest in this proposal was an owner, corporate officer, partner or joint venture are as follows: N/A C-15 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 All current and prior DBAs, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: Z IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, title, hands, and seals of all aforementioned principals this 1 4th day of A_Ug2017. BIDDER: Signature Eric Landegger, Chief Estimator Name and Title of Signatory C. A. Rasmussen Inc. Legal Name of Bidder 28548 Livingston Avenue, Valencia, CA 91355 Address 661-367-9040 Telephone Number 95-2534082 Federal Tax I. D. No. SIGNATURES MUST BE MADE AND NOTARY ACKNOWLEDGMENTS OF EXECUTION OF BIDDER MUST BE ATTACHED Subscribed and sworn to this by of 20_ Notary Public (SEAL) PLEASE SEE ATTACHED NOTARY FORM C-16 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Anqeles Subscribed and sworn to (or affirmed) before me on this 14th day of August , 20 17 , by Eric Landeqqer proved to me on the basis of satisfactory evidence to be the person�(a'rwho appeared before me. DANIELLE MARIE TELLEZ Commission # 2113808 Notary Public -California z Angeles County a ���Los n Tres Jun 1, 2019 � } (Seal) ture , PROPOSAL GUARANTEE FORM CERTIFIED CHECK / CASHIER CHECK / CASH DEPOSIT Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 Bidder's Bond Accompanying this Proposal is a: ]:�c "ted check ashier's check cash deposit payable to the order of the City of Santa Clarita for: Ten percent of total amount bid dollars ($ 10% ), this amount being not less than ten percent (10%) of the total amount of the bid. The proceeds of this check shall become the property of said AGENCY provided this Proposal shall be accepted by said AGENCY through action of its legally constituted contracting authorities, and the undersigned shall fail to execute a contract and furnish the required bonds within the stipulated time; otherwise, the check shall be returned to the undersigned. Bidder's Signature Eric Landegger Print Name C. A. Rasmussen, Inc. CONTRACTOR 28548 Livingston Avenue Address Valencia, CA 91355 City, State, Zip Code C-17 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 PROPOSAL GUARANTEE FORM BID BOND RECEIVED JUL 26 2017 C.A. Rasmussen, Inc Corporate Office Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 KNOW ALL MEN BY THESE PRESENTS that C. A. Rasmussen, Inc. , as BIDDER, and Liberty Mutual Insurance Company as SURETY, are held and firmly bound unto the City of Santa Clarita, as AGENCY, in the penal sum of Ten Percent of the Total Amount of the Bid dollars ($10% of the TAB ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above - stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and the contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREAS, the parties hereto have set their names, titles, hands, and seals, this 25th BIDDER: July 2017 Signature r6'J C. uk4 tit— 1 ! ul, ks Name and Title of Sign) ry C. A. Rasmussen, Inc., 28548 Livingston Avenue, Valencia, CA 91355 - (661) 367-9040 Address SURETY* Liberty Mutual lnsurqncMmpany, 790 The City Drive South, Suite 200, Orange, CA 92868 - (714) 634-5723 t Dennis Langer, Attorney -in -Fact Lockton Insurance Brokers, C 72S. Fi roa Street, 35th FL, Los Angeles, CA 90017 - (213) 689-0065 Subscribed and sworn to this SEE ATTACHED day of ACKNOWLEDGMENT 20 . NOTARY PUBLIC SEE ATTACHED ACKNOWLEDGMENT (SEAL) ''Provide BIDDER and SURETY name, address, and telephone number and the name, title, address, and telephone number for authorized representative. IMPORTANT - Surety Companies executing Bonds must appear on the US Treasury Department's most current list (Circular 570, as amended) and be authorized to transact business in the State where the project is located. C-18 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On August 14, 2017 before me, Danielle Marie Tellez, Notary Public (insert name and title of the officer) personally appeared Eric Landegger who proved to me on the basis of satisfactory evidence to be the perso�Wwhose nameK is/are- subscribed to the within instrument and acknowledged to me that helake hey executed the same in his/ho4tireir authorized capacity(ies), and that by hislh@441eir signatura(s)-on the instrument the person(s)7-or the entity upon behalf of which the perso*s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. I � Signature DANIELLE MARIE TELLEZ Commission # 2113808 Notary Public - California z Los Angeles County n MY Comm. Expires Jun 1, 2019 (Seal) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On July 25, 2017before me, -- Date personally appeared Yalonda M. Eubank, Notary Public Here Insert Name and Title of the Officer Dennis Langer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(30 whose name(30 isJkixal subscribed to the within instrument and acknowledged to me that he)bba0tW executed the same in his/1t%l0WQdxauthorized capacity , and that by hisMeX1[bi:Onignature(k) on the instrument the person(k), or the entity upon behalf of which the person(s) acted, executed the instrument. YALONDA M. EUBANK Notary Public - California z a @ Los Angeles County z z Commission # 2152316 n M Comm. Expires May 7. 2020 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and officjall seal. Signature ofN6tary Public Yalonda M. EulAnk, Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: July 25, 2017_ Number of Pages: Signers) Other Than Named Above: NONE Capacity(les) Claimed by Signer(s) Signer's Name: _ Dennis Langer ❑ Corporate Officer — Title(s): - ❑ Partner — ❑ Limited ❑ General ❑ Individual IN Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No, 7581322 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Dennis Langer; Janina Monroe; Michelle Haase; Paul Boucher• Thomas G. McCall; Timothy J. Noonan _ all of the city of Los Angeles state of CA each individually if there be more Ihan one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 28th day of December , 2016 pr 1419 x rs Tw O 1912 s 1991 v a 61kAP ? A:.Or r� aur* yk r STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY The Ohio Casualty Insurance Company Liberty Mutual Insurance Company ZZ��,4 erican Insurance Company By: — David M. Care ,Assistant Secretary On this 28th day of December , 2016 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. , �gP pAsrfi COMMONWEALTH OF PENNSYLVANIA��%���/ W o�yoNw{{ Notarial Seal Teresa Paslella, Notary Public By: QF FU,,er Merion Twp., Montgomery County Teresa Pastella, Notary Public p Commission Expires March 28, 2017 t Memlwr, Pennsylvania Association of Notanes This Power of Attorney is made and executed pursuant o and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV— OFFICERS — Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full;,true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. JUL 2 C 2017 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of J 20 �tY INso P4tN5Uq,+ rNSUq,�p _ 0 1914 p 1912 1991 By: Renee C. Ltew sistanl Secretary 'irn � br �$. 7r qr>• 1 t LMS_12873 082016 72 of 500 � O v0 TW W C E O C4 Qo O� G1 C O� CL to O C 'a t0; I NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 To the CITY OF SANTA CLARITA: In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106, the Bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the Bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the Bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. C-19 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 NON -COLLUSION AFFIDAVIT Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 TO BE EXECUTED BY EACH BIDDER OF A PRINCIPAL CONTRACT STATE OF CALIFORNIA } COUNTY OF LOS ANGELES } § Eric Landegger being first duly sworn deposes and says that he is the Chief Estimator (sole owner, a partner, president, etc.) of C. A. Rasmussen, Inc. the party making the foregoing bid; that such bid is not made in the interest of or behalf of any undisclosed person, partnership, company, association, organization or corporation, that such bid is genuine and not collusive or sham, that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, or that anyone shall refrain from bidding, that said BIDDER has not in any manner, directly or indirectly sought by agreements, communication or conference with anyone to fix the bid price of said BIDDER or of any other BIDDER, or to fix the overhead, profit, or cost element of such bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such bid are true, and further, that said BIDDER has not, directly or indirectly, submitted his bid price, or any breakdown thereof, or the contents thereof, or divulged information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company, association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual information or date relative thereto, or paid and will not pay any fee in connection, therewith to any corporation, partnership, company association, organization, bid depository, or to any member or AGENCY thereof, or to any other individual, except to such person or persons as have a partnership or other financial interest with said BIDDER in his general business. Bidder: 5igoature Eric Landegger, Chief Estimator Title Subscribed and sworn to and before me this Z day of Seal of Notary 20 PLEASE SEE ATTACHED NOTARY FORM C-20 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validitv of that document. State of California County of Los Anqeles Subscribed and sworn to (or affirmed) before me on this 14th day of Auqust , 20 17 , by Eric Landeqqer proved to a on the basis of satisfactory evidence to be the person(.who appeared before me. DANIELLE MARIE TELLEZ Commission # 2113808 Notary Public - California z z Los Angeles County n M Comm. Expires Jun 1, 2019 (Seal) Signature BIDDER QUESTIONNAIRE Sierra Highway Pedestrian Bridge 8r. Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 If the bidder has answered the questionnaire within the past year and there are no significant changes in the information requested, then the bidder need not file a new questionnaire. If there are changes, indicate those changes. Should the space provided not be adequate, so indicate and complete information on a separate page(s) and attach hereto. 2 Submitted by: C. A. Rasmussen, Inc. Telephone. 661-367-9040 Principal Office Address: 98,548 1 ivinastnn Avenue, VnIPnrin, CA 91355 Type of Firm: Corporation Corporate: X Other: Individual: Partnership: 3a. if a corporation, answer these questions: Date of Incorporation: 11 /3Q/_1967 State of Incorporation: California President's Name: Charles A. Rasmusseo Vice -President's Name: Adorn Rasmussen; Doug Misley Secretary or Clerk's Name: Lisa Punches Treasurer's Name: N/A 3b. If a partnership, answer these questions: N/A Date of organization: State Organized in Name of all partners holding more than a 10% interest: N I -A Designate which are General or Managing Partners. 4. Name of person holding CONTRACTOR's license: Charles A. Rasmussen License number: 254681 Class: A, B, C-31, Expiration Date: 5131.12()l 2 HA2, 5. CONTRACTOR's Representative: Fria Landegger Title: Chief Fstimotor Alternate: DoUg Misley Title: Vice President 6. List the major construction projects your organization has in progress as of this date: Owner: (A) (B) Project Location: Ple(me sep attached list of active nrnipr-h Type of Project: C-21 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 i Q u � ■ % � � R 2 QLn V)06 t / o / c \ 2 � ° ° $ k > = g u k t e 5 f f f m c # 2 $ k 9 m § 4� CL§ / e R t u (U � % '� § ® / E u / R E 2 / u 3 m [ 5 e \ / — k 2 / E E Ln 7 � / a \ f � / a u § , / g S 2 o Ln % / $ q � 7 ' § E u u \ rH > Ln ƒ § ƒ c k + ' / $ � R 0 ƒ Ln cc > CL � . m / E 7 m m—° y o ./ m k E ( / f k k\\ \ E u 6 & •m > M $ � o C E 0 t 0 § / 4- _ g \ � / \E 'E � / m - \ 2 2 \ % o '> © 0 2 k Y o o 0 u 2 m I m o. �� \ co § 7 � / ° \ _ « � 3 a v ƒ/ f § k \% m \ C / 3 2 7 E o u e Rt w e % °° / /' d/% k/ t/ 2 Ef $ §/ \ \ / 2 \\ 0" CL 2 %/ m/ Ln 2 \ E u 2 m m m > k a- r E m / � k m m -0 o o _ > / \ / 3 / \ \ E \ 2 > 7 § § / m k k 0 a- 2 2 � 5 / 5 o k \ -5 2 \ t \ / _ > 3 2 > u 0 \ = Z / / \ \ \aj w f u Ln m to o @ 4-J > @ 0 0C < § o o =\ § / ol I Ul 0- > CERTIFICATION OF NON -SEGREGATED FACILITIES Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 The CONTRACTOR certifies that he does not maintain or provide for his employees any segregated facilities at any of his establishments, and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The CONTRACTOR certifies further that he will not maintain or provide for his employees any segregated facilities at any of his establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The CONTRACTOR agrees that a breach of this certification is a violation of the Equal Opportunity clause in this Contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, rest rooms, and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color, or national origin, because of habit, local custom, or otherwise. The CONTRACTOR agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause, and that he will retain such certifications in his files. C. A. Rasmussen, Inc. CONTRACTOR Required by the May 19, 1967 order on Elimination of Segregated Facilities, by the Secretary of Labor — 32 F.R. 7439, May 19, 1967 (F.R. Vol. 33, No. 33 — Friday, February 16, 1968 — p. 3065). C-22 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 NONLOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub -recipients shall certify and disclose accordingly. THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THE "BIDDER'S CERTIFICATION" SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH FORM A PART OF THE PROPOSAL. BIDDERS ARE CAUTIONED THAT MAKING A FALSE CERTIFICATION MAY SUBJECT THE CERTIFIER TO CRIMINAL PROSECUTION. C-23 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 DISCLOSURE OF LOBBYING ACTIVITIES wMFLb I b 1111N F UKM I U 1. T),pe of Federal Action: [—a] a. contract b. grant c. cooperative agreement d. loan e. loan guarantee f. loan insurance LUBBYINU AL: 1IV11ILS FURSUAN'1"1'U 31 U.S.C. 1352 2. Status of Federal Action: Faa. bid/offer/application b. initial award c. post -award 4. Name and Address of Reporting Entity ® Prime ❑ Subawardee C. A. Rasmussen, Inc. Tier if known 28548 Livingston Avenue Valencia, CA 91355 Congressional District, if known 6. Federal Department/Agency: N/A 8. Federal Action Number, if known: N/A 3. Report Type: aa. initial b. material change For Material Change Only: year quarter date of last report . 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: N/A Congressional District, if known 7. Federal Program Name/Description: N/A CFDA Number, if applicable 9. Award Amount, if known: N/A 10. a. Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual, last name, first name, MI) address if different from No. IOa) N/A (last name, first name, MI) N/A (attach Continuation Sheet(s) if necessary) 11. Amount of Payment (check all that apply) 13. Type of Payment (check all that apply) $ N/A ❑ actual planned a. retainer b. one-time fee N/A 12. Form of Payment (check a.11 that apply): N/A c. commission ea. cash d. contingent fee b.. in-kind; speciry: nature a deferred value f. other, specify 14. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment Indicated in Item 11: N/A (attach Continuation Sheet(s) if necessary) 15. Continuation Sheet(s) attached: Yes ❑ No 16. Information requested through this form is authorized by Title 31 U.S,C, Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into, This disclosure is required pursuant to 31 Print Name: Erle Lan e"r U.S.C. 1352. This information will be reported to Congress semiannually and will be available for public inspection. Any Chief Estimator person who fails to file the required disclosure shall be subject Title: to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure, Telephone No.:661 —367-7p 040 Date: 8/14/1 4 Federal Use On STanoard 1,onn LLL KC+ C-24 Sierra Highway Pedestrian Bridge & Street Improvements Project 53031 Authorized for Local Reproduction Standard Form - LLL INSTRUCTIONS FOR COMPLETION OF SF -LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP -DE -90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (Ml). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. SF -LLL -Instructions Rev. 06-04-9 C-25 Sierra Highway Pedestrian Bridge & Street Improvements Project S3031 f 0V4,VUJ (4AA- 4-�- Question: Would it be acceptable to provide the headed studs along the edge channels of the concrete in lieu of welding them through the form decking to the floor beams? The floor beams will need to be painted prior to form deck installation meaning the stud weld will burn off a portion of the floor beam paint and damage the integrity of the coating system. The damage in this location will be inaccessible for touching up, but moisture will be able to penetrate the joint and could potentially "bleed" or streak rust as it drains down each floor beam. Answer. No. As the fabricator is installing the decking and can control stud locations with high precision, it would be acceptable to mask out an appropriate area for each stud. ATTACHMENTS • Exhibit B - Applicable Federal Wage Rate for Project • Appendix H - Storm Water Pollution Prevention Plan Approved by: Robert G. Newman Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum No.1 and accept the aforementioned. Siddees Signatu August 14, 2017 Date THIS PAGE OF THE DOCUMENT TO BE SUBMITTED WITH PROPOSAL Sierra Highway Pedestrian Bridge & Street Improvements Page 2 of 2 Addendum No. 1 — July 21, 2017 ADDENDUM NO. 2 July 26, 2017 Sierra Highway Pedestrian Bridge & Street Improvements Federal -Aid Project No. ATPL - 5450(087) City Bid No. ENG -16-17-S3031 City Project No. S3031 City of Santa Clarita, California This Addendum forms a part of the Contract Documents for the above -identified project and modifies the original Specifications and Contract Documents, as noted below. Portions of the Contract, not specifically mentioned in the Addendum, remain in force. All trades affected shall be fully advised of these changes, deletions, and additions. CHANGES TO SPECIFICATIONS SECTION A: NOTICE INVITING BIDS The date of the bid opening is changed from 11:00 a.m. on Monday, July 31, 2017 to 11:00 a.m. on Tuesday, August 8, 2017. Approved b Robert G, keAwran Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum No.2 and accept the aforementioned. l ,L Bidder's Sigma August 14, 2017 Date THIS PAGE OF THE DOCUMENT TO BE SUBMITTED WITH PROPOSAL Sierra Highway Pedestrian Bridge & Street Improvements Page 1 of 1 AddendumNo,i1� July?;1;2017 - �P_ f, 1,k i t, ATTACHMENTS • Revised Bid Schedule with revisions shown in RED • Revised Plans — Sheets 16, 19, 37, 42, 43, 78, and 87 Approved by: ,90AIA&W fi�,• W -IN Robe NewrAan Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum No.3 and accept the aforementioned - Bidder's Sign 9 %24/20! -4 Date August 14, 2017 Date THIS PAGE OF THE DOCUMENT TO BE SUBMITTED WITH PROPOSAL Sierra Highway Pedestrian Bridge & Street Improvements Page 6 of 6 Addendum No 3 — Jufv 27. 2017 1 PROPOSER QUESTIONS & CITY RESPONSES Question: The specs call for the fencing to be painted with a 2 -coat system and the top coat to match color no 10080 of the FED -STD -595. Custom fencing colors can be expensive and do not come with a warranty. Standard colors tend to be either green or black and come with a warranty from the supplier. Will the City accept either green or black? Answer: No, the color shall be as specified. Question: How much time will be allowed for the bridge fabrication and signal procurement prior to the start of the work for the 80 working days? Answer: Per this addendum, the number of working days has been changed to 200 working days, including traffic signal and pedestrian bridge procurement. Question: Is professional Liability insurance required, as stated in the specs, when the general contractor will not be providing any design or professional services? Answer: Yes, professional liability insurance is required as stated in the specifications. ATTACHMENTS e Revised Bid Schedule with revisions shown in RED Approved by: b EAG �C� Robert G1. Newman Director of Public Works City of Santa Clarita BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum No.4 and accept the aforementioned. J Bidder's Signatu August 14, 2017 Date THIS PAGE OF THE DOCUMENT TO BE SUBMITTED WITH PROPOSAL Sierra Highway Pedestrian, Bridge & Street Improvements Addendum No. 4 — August 2, 2017 Page 2 of 2 Approved by: Robert G. Newm n Director of Public Works City of Santa Clarite BIDDER'S CERTIFICATE I acknowledge receipt of this Addendum No.5 and accept the aforementioned. �C•�•t_•' August 14, 2017 Bidder's Signatu _-�j Date THIS PAGE OF THE DOCUMENT TO BE SUBMITTED WITH PROPOSAL Sierra Highway Pedestrian Bridge & Street Improvements Page 3 of 3 Addendum No. 5�- August 9, 2017